Preparation Forms Grant Agreement

Grant AgreementPreparation FormsProject number

318922

Project title

EENP2— EUROPE EGYPT NETWORK FOR PARTICLE PHYSICS

Call (part) identifier

FP7-PEOPLE-2012-IRSES

Funding scheme

Marie Curie Actions— International Research Staff Exchange Scheme (IRSES)

INTRODUCTION

Grant Agreement Preparation Forms (GPF’s) have been designed to facilitate the project negotiations and the production ofthe grant agreement. It is a main communication instruments between the co-ordinator representing the Partnership Agreementand the Commission and/or the REA ’s Project Officer. Essentially the forms are used to identify the beneficiaries that willsign/accede to the grant agreement, to determine the eligible costs and European Union contribution and to electronicallycapture structured information on work packages, efforts, milestones and deliverables . The forms also include a standarddeclaration to be signed by each beneficiary.

To assist the filling in of the GPF’s the following is made available:

• Annotations – these are attached to the standard forms and should be read carefully

• Pre-filled legal information (see below)

• NEF – NEF is an online tool to be used by the co-ordinator and the beneficiaries to edit the content of theGPF’s

Legal information is held in the A2.1 form. This information is pre-filled by the Commission and/or the REA services usingeither information taken from the Commission database or from the proposal. Depending on the validity of this information,the organisation concerned may have to supply to the Commission and/or the REA with a so called “identification fiche” andsupporting legal documents. For instructions on this, see the annotations to the A2.1 form.

The budget table (A3.1) is to be used in Part A of Annex I of the grant agreement.

A1:Our project

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Project Number 1 318922 Project Acronym 2 EENP2

One form per project

General information

Project title 3 EUROPE EGYPT NETWORK FOR PARTICLE PHYSICS

Starting date 4 01/01/2013

Duration in months 5 48

Call (part) identifier 6 FP7-PEOPLE-2012-IRSES

Marie Curie action-codeIRSES : InternationalResearch Staff ExchangeScheme (IRSES)

Scientific panel PHY : Physics

Activity code(s) most relevantto your topic 7

FP7-PEOPLE-2012-IRSES: Marie Curie Action"International Research StaffExchange Scheme"

Free keywords 8 PHY,P101 Fundamental interactions and fields,P102 Particlephysics,P301 Astronomy - Astrophysics and Cosmology,PHY

Does the proposal include any of the sensitive ethical issuesdetailed in the Research Ethical Issues table of Part B NO

Abstract 9 (max. 3000 char.)

We propose an exchange programme to promote the scientific collaboration in particle physics and related technologiesbetween a network of Egyptian Universities and EU member states Academic Institutions which have already originatedinnovative transfer of knowledge towards Egypt. The main objectives of the joint exchange programme are:• the reinforcement of the Europe-Egypt scientific collaboration. In particular in past years both France and Italy havefunded initiatives in the field of particle physics and related technologies to boost Egyptian interest and personnel training.The present proposition intends to further improve the collaboration by especially allowing long term visits of young andsenior Egyptian scientists to perform advanced research on fundamental particle physics in the framework of worldwidelarge collaborations. Moreover the programme would offer the possibility to second EU researchers to Egypt to originateadvanced research activities, advice on the development of the local infrastructures and monitor the success of the transfer ofknowledge;• the establishment of a important scientific collaboration between Italy and France on advanced physics concepts andtechnologies. Although some researchers of the EU Academic Institutions involved in the proposal have already collaboratedthrough the CERN experimental physics program, the possibility of building up an independent common research programwould boost enormously the joint research capability. It should be mentioned that the researches involved in these EUinstitutions can offer an impressive expertise to the activities relevant for this proposal. Their collaboration could thereforehave an important European long term impact on the progress of the physics concept and technologies hereby discussed.

A2.1:Who we are

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Projectnumber 1 318922 Project

acronym 2 EENP2Coordinatornumber in thisproject 10

1 Coordinatorshort name 11 POLIBA

One form (Beneficiary 42 )

Legal data

If your organisation has already registered for FP7, enter your Participant IdentityCode 12 999431159

Participant legal name 13 POLITECNICO DI BARI

Participant short name 11 POLIBA

Status of validation 14 VALID

Legal address of the participant

Street name 15 VIA GIOVANNI AMENDOLA Number 15 126/B

Town 15 BARI

Postal code / Cedex 15 70126

Country 16 Italy

Internet homepage(optional)

Registration data of the participant

Legal registration number 17

Place of registration 17

Date of registration 17 07/08/1990

VAT number 18 IT04301530723

Legal form 19 Other

Legal Entity Appointed Representative (LEAR) 20

Family name Pizzi First name(s) Ada

Phone 1 21 +390805962176 Phone 2 21

E-mail [email protected] Fax 21 +390805962575

A2.2:Who we are

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Status of your organisation

Certain types of organisations benefit from special conditions under FP7 participation rules. If you are one of these, please tickthe appropriate box(es) below. 22

Your organisation is:

❑ Natural person

❑✘ Legal person

❑✘ Non profit

❑✘ Research Organisation

❑✘ Public body

❑ International organisation

❑ International organisation of european interest

❑✘ Secondary and higher education establishment

❑ Enterprise

❑ SME

Indirect costs 41 :

❑ Actual indirect costs

❑ Simplified method

❑ Standard flat rate

❑✘ Special transitional flat rate

A2.3:Authorised Representatives

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First authorised representative to sign the grant agreement or to commit the organisation for this project

Family name Costantino First name(s) Nicola

Title 34 Prof. Gender 35(Female – F /Male – M) M

Position in the organisation 36 Rector

Department/Faculty/Institute/Laboratory name/... 37

Address (if different from the legal address) 12

Street name 15 Number 15

Town 15

Postal code / Cedex 15

Country 16

Phone 1 21 +390805962508 Phone 2 21

E-mail [email protected] Fax 21

Second authorised representative to sign the grant agreement or to commit the organisation for this project

Family name First name(s)

Title 34 Gender 35(Female – F /Male – M)

Position in the organisation 36




Town 15


Country 16

Phone 1 21 Phone 2 21

E-mail Fax 21

A2.4:How to contact us

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Contact persons for this project

Person in charge of administrative, legal and financial aspects in this project

Family name Iaselli First name(s) Giuseppe


Position in the organisation 36 Full Professor

Department/Faculty/Institute/Laboratory name/... 37 Physics

Address (if different from the legal address)

Street name 15 Dipartimento di Fisica Via Amendola Number 15 173

Town 15 Bari


Country 16 Italy

Phone 1 21 +390805442440 Phone 2 21


Person in charge for the project

Family name Iaselli First name(s) Giuseppe


Position in the organisation 35 Full Professor

Department/Faculty/Institute/Laboratory name/... 37 Physics


Street name 15 Dipartimento di Fisica Via Amendola Number 15 173

Town 15 Bari


Country 16 Italy

Phone 1 21 +390805442440 Phone 2 21


A2.5:Our commitment

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Certified declaration

1- As an authorised representative to sign the grant agreement or to commit the abovementioned organisation, I am fullyaware that a grant agreement may not be awarded to an applicant who is, at the time of a grant award procedure, in one of thesituations referred to in Articles 93(1), 94 and 96(2)(a) of the Council Regulation (EC, Euratom) N° 1995/2006 of 13 December2006 on the Financial Regulation applicable to the general budget of the European Union [OJ L 390, 30/12/2006, p1].

As a consequence, I certify that:

• In compliance with article 93(1) of the abovementioned Regulation, none of the following cases apply to ourorganisation:a) it is bankrupt or being wound up, is having its affairs administered by the courts, has entered into an

arrangement with creditors, has suspended business activities, is the subject of proceedings concerningthose matters, or is in any analogous situation arising from a similar procedure provided for in nationallegislation or regulations;

b) it has been convicted of an offence concerning its professional conduct by a judgment which has theforce of res judicata;

c) it has been guilty of grave professional misconduct proven by any means which the contracting authoritycan justify;

d) it has not fulfilled obligations relating to the payment of social security contributions or the payment oftaxes in accordance with the legal provisions of the country in which it is established or with those of thecountry of the contracting authority or those of the country where the contract is to be performed;

e) it has been the subject of a judgment which has the force of res judicata for fraud, corruption,involvement in a criminal organisation or any other illegal activity detrimental to the Union’s financialinterests;

f) it is currently subject to an administrative penalty referred to in Article 96(1) of the above-mentionedregulation.

• In compliance with article 94 of the abovementioned Regulation , and as far as the current grant awardprocedure is concerned, our organisation:g) is not subject to a conflict of interest;h) has not made false declarations in supplying the information required by the Commission and/or

the REA as a condition of participation in the grant award procedure or does not fail to supply thisinformation;

i) is not in one of the situations of exclusion, referred to in the abovementioned points a) to f).

2- As an authorised representative to sign the grant agreement or to commit the abovementioned organisation, I also certifythat our organisation:

• is committed to participate in the abovementioned project;

• has stable and sufficient sources of funding to maintain its activity throughout its participation in theabovementioned project and to provide any counterpart funding necessary;

• has or will have the necessary resources as and when needed to carry out its involvement in theabovementioned project.

3- As an authorised representative to sign the grant agreement or to commit the abovementioned organisation, I finally certifythat all the information relating to our organisation set out in the different Grant Agreement Preparation Forms are complete,accurate and correct; and that the estimated costs meet the criteria for eligible costs for FP7 projects – as established by theEU model grant agreement – are notably based on our usual accounting and management principles and practices, and reflectthe costs expected to be incurred in carrying out the foreseen work described in Annex I (description of work).

4- Our organisation is fully aware that the Commission and/or the REA may impose administrative or financial penalties onlegal entities who are guilty of misrepresentation in supplying the information required by the Commission and/or the REA asa condition of participation in the grant award procedure or fail to supply this information; have been declared to be in seriousbreach of their obligations under any contract/grant agreement covered by the budget of the Commission . Such penalties shallbe proportionate to the importance of the contract/grant agreement and the seriousness of the misconduct, and may consist intheir exclusion from the contracts and grants financed by the budget of the Commission for a maximum period of ten years andpayment of financial penalties.

A2.5:Our commitment

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5- As an authorised representative I certify that the information given in the form A2.2 is correct.


Family name of authorisedrepresentative Costantino First Name(s) Nicola

Date

Signature of the authorisedrepresentative to sign thegrant agreement or to committhe organisation 38

A2.6:Data Protection & Coordination Role

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Signed only by the Beneficiary 42

As beneficiary on behalf of all proposers I take note of the following statement:

“All personal data (such as names, addresses, CVs, etc.) will be processed in accordance with Regulation (EC) No. 45/2001 ofthe European Parliament and of the Council of 18 December 2000 on the protection of individuals with regard to the processingof personal data by the institutions and bodies of the European Union and on the free movement of such data (Official Journal L8, 12.01.2001). Such data will be processed solely in connection with the assessment of the project by the Commission and/orthe REA department responsible for FP7 . On request, proposers may obtain access to their personal data and correct orcomplete them. Any questions relating to the processing of these data can be addressed to the project officer. Proposers maylodge a complaint against the processing of their personal data with the European Data Protection Supervisor at any time.”

Any sensitive information or material used as background or produced as foreground in this project is covered by a SecurityAspect Letter (SAL) 39 which is provided. If sensitive information or material is found to be required at a later stage of theproject, amendment to the grant agreement will be requested and a SAL will be provided.

I also certify that our organisation is committed to act as the coordinator of this project.


Family name of authorisedrepresentative Costantino First Name(s) Nicola

Date


Family name of authorisedrepresentative First Name(s)

Date


A2.1:Who we are

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acronym 2 EENP2Participantnumber in thisproject 10

2 Participant shortname 11 ECOLE

One form per participant (Partner 44 )

Legal data


Participant legal name 13 ECOLE POLYTECHNIQUE

Participant short name 11 ECOLE



Street name 15 ROUTE DE SACLAY Number 15

Town 15 PALAISEAU


Country 16 France



Legal registration number 17 199 115 684 00011



VAT number 18 FR15199115684

Legal form 19 unknown


Family name ERAY First name(s) AURELIE

Phone 1 21 +33169333254 Phone 2 21


A2.2:Who we are

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❑ Natural person

❑✘ Legal person

❑✘ Non profit


❑✘ Public body




❑ Enterprise

❑ SME

Indirect costs 41 :






13 2012-06-23 10:44






Family name Gnanou First name(s) Yves

Title 34 Dr. Gender 35(Female – F /Male – M) M

Position in the organisation 36 Vice-President




Town 15


Country 16

Phone 1 21 +330540006987 Phone 2 21



Family name Drouhin First name(s) Henri-Jean


Position in the organisation 36 Vice President Assistant




Town 15


Country 16

Phone 1 21 +330540006987 Phone 2 21



14 2012-06-23 10:44







Family name Mine' First name(s) Phlippe


Position in the organisation 36 Directeur de recherche CNRS

Department/Faculty/Institute/Laboratory name/... 37 Laboratoire Leprince-Ringuet


Street name 15 Ecole Polytechnique Number 15

Town 15 -Palaiseau CEDEX


Country 16 France

Phone 1 21 +33 1 69 33 55 60 Phone 2 21

E-mail [email protected] Fax 21 +33 1 69 33 55 08


Family name Mine' First name(s) Phlippe


Position in the organisation 35 Directeur de recherche CNRS

Department/Faculty/Institute/Laboratory name/... 37 Laboratoire Leprince-Ringuet


Street name 15 Ecole Polytechnique Number 15

Town 15 -Palaiseau CEDEX


Country 16 France

Phone 1 21 +33 1 69 33 55 60 Phone 2 21

E-mail [email protected] Fax 21 +33 1 69 33 55 08

A2.5:Our commitment

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One form per participant




















A2.5:Our commitment

16 2012-06-23 10:44


Participant legal name 13 ECOLE POLYTECHNIQUE

Family name of authorisedrepresentative Gnanou First Name(s) Yves

Date


Family name of authorisedrepresentative Drouhin First Name(s) Henri-Jean

Date


A2.1:Who we are

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3 Participant shortname 11 HELWAN


Legal data


Participant legal name 13 HELWAN UNIVERSITY

Participant short name 11 HELWAN



Street name 15 EIN HELWAN HELWANUNIVERSITY Number 15

Town 15 HELWAN


Country 16 Egypt




Place of registration 17 Cairo


VAT number 18

Legal form 19 UNK


Family name Mohamed Abdel-Khalek First name(s) Souad

Phone 1 21 +20225481087 Phone 2 21


A2.2:Who we are

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❑ Natural person

❑✘ Legal person

❑✘ Non profit


❑✘ Public body




❑ Enterprise

❑ SME

Indirect costs 41 :



❑✘ Standard flat rate

❑ Special transitional flat rate


19 2012-06-23 10:44






Family name Sark First name(s) Yasser


Position in the organisation 36 President




Town 15


Country 16

Phone 1 21 +20225565820 Phone 2 21









Town 15


Country 16


E-mail Fax 21


20 2012-06-23 10:44







Family name Mahrous First name(s) Ayman


Position in the organisation 36 Associate Professor

Department/Faculty/Institute/Laboratory name/... 37 Physics Department


Street name 15 Faculty od Science PhysicsDepartiment Ain Helwan Number 15

Town 15 Ain Helwan


Country 16 Egypt

Phone 1 21 +202 2556 7506 Phone 2 21

E-mail [email protected] Fax 21 +202 2555 2468


Family name Mahrous First name(s) Ayman





Street name 15 Faculty od Science PhysicsDepartiment Ain Helwan Number 15

Town 15 Ain Helwan


Country 16 Egypt

Phone 1 21 +202 2556 7506 Phone 2 21


A2.5:Our commitment

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A2.5:Our commitment

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Participant legal name 13 HELWAN UNIVERSITY

Family name of authorisedrepresentative Sark First Name(s) Yasser

Date


A2.1:Who we are

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4 Participant shortname 11 CAIRO


Legal data


Participant legal name 13 CAIRO UNIVERSITY

Participant short name 11 CAIRO



Street name 15 AL ORMAN GUIZA Number 15

Town 15 GIZA


Country 16 Egypt

Internet homepage(optional) www.cairo.eun.eg



Place of registration 17 CAIRO


VAT number 18

Legal form 19 Other


Family name Khaled First name(s) Hussein

Phone 1 21 +20235728360 Phone 2 21


A2.2:Who we are

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❑ Natural person

❑✘ Legal person

❑✘ Non profit


❑✘ Public body




❑ Enterprise

❑ SME

Indirect costs 41 :






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Family name Kamel First name(s) Hosam






Town 15


Country 16

Phone 1 21 +202 5729584 Phone 2 21









Town 15


Country 16


E-mail Fax 21


26 2012-06-23 10:44







Family name Radaman First name(s) Rabie


Position in the organisation 36 assistant professor

Department/Faculty/Institute/Laboratory name/... 37 Computing engineering Departiment


Street name 15 Computer Energy DepartmentAhmed Zewail Number 15 5

Town 15 Orman, Giza


Country 16

Phone 1 21 +202 0167643227 Phone 2 21



Family name Radaman First name(s) Rabie


Position in the organisation 35 assistant professor

Department/Faculty/Institute/Laboratory name/... 37 Computing engineering Departiment


Street name 15 Computer Energy DepartmentAhmed Zewail Number 15 5

Town 15 Orman, Giza


Country 16

Phone 1 21 +202 0167643227 Phone 2 21


A2.5:Our commitment

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A2.5:Our commitment

28 2012-06-23 10:44


Participant legal name 13 CAIRO UNIVERSITY

Family name of authorisedrepresentative Kamel First Name(s) Hosam

Date


A2.1:Who we are

29 2012-06-23 10:44



5 Participant shortname 11 AINSHAM


Legal data


Participant legal name 13 AIN SHAMS UNIVERSITY

Participant short name 11 AINSHAM



Street name 15 RAMSSES STREET Number 15

Town 15 ABASSYIA CAIRO


Country 16 Egypt

Internet homepage(optional) http://agr.shams.edu.eg/





VAT number 18

Legal form 19 unknown


Family name Salama First name(s) Mohammad

Phone 1 21 20226847821 Phone 2 21 20161191678

E-mail [email protected] Fax 21 20226847822

A2.2:Who we are

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❑ Natural person

❑✘ Legal person

❑✘ Non profit

❑ Research Organisation

❑✘ Public body




❑ Enterprise

❑ SME

Indirect costs 41 :



❑✘ Standard flat rate

❑ Special transitional flat rate


31 2012-06-23 10:44






Family name Fayez Hamza First name(s) Alaa






Town 15


Country 16

Phone 1 21 +20226831417 Phone 2 21 +202 26831474









Town 15


Country 16


E-mail Fax 21


32 2012-06-23 10:44







Family name Radi First name(s) Amr






Town 15


Country 16

Phone 1 21 +20 101436582 Phone 2 21

E-mail [email protected] Fax 21 +20 2 268 22 189


Family name Radi First name(s) Amr






Town 15


Country 16

Phone 1 21 +20 101436582 Phone 2 21

E-mail [email protected] Fax 21 +20 2 268 22 189

A2.5:Our commitment

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A2.5:Our commitment

34 2012-06-23 10:44


Participant legal name 13 AIN SHAMS UNIVERSITY

Family name of authorisedrepresentative Fayez Hamza First Name(s) Alaa

Date


A3.1:Budget

35 2012-06-23 10:44


One Form per Project

Participant number in this project Participant short name Country Number seconded researchersmonth

Total EU Contribution (€)

1 POLIBA Italy 102 193,800.00

2 ECOLE France 53 100,700.00

TOTAL (€) 155 294,500.00

A3.2:Indicative Secondments

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Participant number in thisproject

Participant short name Country Amount of staff Number secondedresearchers month total

% Total EU Contribution (€)

1 POLIBA Italy 21 33 35 % 62,700.00

2 ECOLE France 15 21 25 % 39,900.00

3 HELWAN Egypt 10 43 17 % 81,700.00

4 CAIRO Egypt 8 28 13 % 53,200.00

5 AINSHAM Egypt 6 30 10 % 57,000.00

TOTAL EU/AC Participant 2 36 54 60 % 102,600.00

TOTAL Third Country Participant 3 24 101 40 % 191,900.00

TOTAL 5 60 155 100 % 294,500.00

A3.3:Indicative Seconded Fellow-months from Partners to Beneficiaries

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FROM

BENEFICIARIES PARTNERS TOTAL

SECONDMENTS (fellow months)

ITPOLIBA

FRECOLE

EGHELWAN

EGCAIRO

EGAINSHAM

f-m % TOTAL

ITPOLIBA

43 12 14 69 45%

FRECOLE

0 16 16 32 21%

BENEFICIARIES

SUB-TOTAL 43 28 30 101 65%

EGHELWAN

15 0 15 10%

EGCAIRO

12 12 24 15%

EGAINSHAM

6 9 15 10%

PARTNERS

SUB-TOTAL 33 21 54 35%

TO

TOTAL 33 21 43 28 30 155 100%

A3.4:Gantt chart

38 2012-06-23 10:44



1 2

Parti

cipa

ntnu

mbe

r

From

parti

cipa

nt

From

coun

try Topa

rtici

pant To

coun

try

Seco

nded

rese

arch

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Dur

atio

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Star

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mon

th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

1 POLIBA IT HELWAN EG TS 2 42

1 POLIBA IT CAIRO EG TS 2 13



1 POLIBA IT HELWAN EG MS 1 30



1 POLIBA IT CAIRO EG ER 1 4






1 POLIBA IT AINSHAM EG ER 2 13



1 POLIBA IT HELWAN EG ER 2 13





2 ECOLE FR CAIRO EG ER 1 44


A3.4:Gantt chart

39 2012-06-23 10:44

1 2

Parti

cipa

ntnu

mbe

r

From

parti

cipa

nt

From

coun

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rtici

pant To

coun

try

Seco

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Dur

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n

Star

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mon

th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

2 ECOLE FR AINSHAM EG ER 2 28



2 ECOLE FR AINSHAM EG MS 1 4










3 HELWAN EG POLIBA IT ESR 1 36



3 HELWAN EG POLIBA IT ER 1 6







4 CAIRO EG POLIBA IT ESR 6 31

4 CAIRO EG POLIBA IT ESR 6 5

4 CAIRO EG ECOLE FR ER 1 36

A3.4:Gantt chart

40 2012-06-23 10:44

1 2

Parti

cipa

ntnu

mbe

r

From

parti

cipa

nt

From

coun

try Topa

rtici

pant To

coun

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Seco

nded

rese

arch

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Dur

atio

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Star

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mon

th

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48


4 CAIRO EG ECOLE FR ESR 6 31



4 CAIRO EG ECOLE FR ESR 6 7

5 AINSHAM EG POLIBA IT ESR 6 31

5 AINSHAM EG POLIBA IT ESR 8 5

5 AINSHAM EG ECOLE FR MS 1 12

5 AINSHAM EG ECOLE FR ESR 6 31

5 AINSHAM EG ECOLE FR ESR 8 5

5 AINSHAM EG ECOLE FR MS 1 36

FINANCIAL IDENTIFICATION

PRIVACY STATEMENT http://ec.europa.eu/budget/execution/ftiers_fr.htm

PROJECT NUMBER 318922 PROJECT ACRONYM EENP2

ACCOUNT NAME

ACCOUNT NAME (1) Politecnico di Bari

ADDRESS Via Amendola 126B

TOWN/CITY Bari POSTCODE 70126

COUNTRY Italy

CONTACT (1) Costantino Nicola

TELEPHONE +39 080 5962508 FAX +39 080 5962510

E - MAIL [email protected]

BANK

BANK NAME Istituto di credito MONTE dei PASCHI di SIENA

BRANCH ADDRESS Viale della Repubblica, 90

TOWN/CITY Bari POSTCODE 70125

COUNTRY Italy

ACCOUNT NUMBER

IBAN(2) IT76J0103004010000003621928

REMARKS: The provided bank account is an interest bearing one.

We certify that above information declared is complete and true.

BANK STAMP + SIGNATURE OF BANK REPRESENTATIVE(Both Obligatory)(3)

DATE + SIGNATURE ACCOUNT HOLDER : (Obligatory)

(1) The name or title under which the account has been opened and not the name of the authorized agent(2) If the IBAN Code (International Bank account number) is applied in the country where your bank is situated

http://ec.europa.eu/budget/execution/ftiers_fr.htm

FINANCIAL IDENTIFICATION

(3) It is preferable to attach a copy of recent bank statement, in which event the stamp of the bank and the signature of thebank's representative are not required. The signature of the account-holder is obligatory in all cases.

A5:Reporting Periods

43 2012-06-23 10:44

Project Number 1 318922 Project acronym 2 EENP2


Reporting period From month To month Total estimated eligible cost Total requested EU contribution

1 1 24 152,000.00 152,000.00

2 25 48 142,500.00 142,500.00

1 48 294,500.00 294,500.00

1. Project number

The project number has been assigned by the Commission and/or the REA as the unique identifier for your project. It cannotbe changed. The project number should appear on each page of the grant agreement preparation documents (part A andpart B) to prevent errors during its handling.

2. Project acronym

Use the project acronym as given in the submitted proposal. It cannot be changed unless agreed so during the negotiations.The same acronym should appear on each page of the grant agreement preparation documents (part A and part B) toprevent errors during its handling.

3. Project title

Use the title (no longer than 200 characters) as given in the submitted proposal. Minor corrections are possible if agreed duringthe negotiations. The title should be understandable to the non-specialist.

4. Starting date

In case a specific starting date is requested, insert this starting date of the project. The coordinator should present duringthe negotiations a written justification for the requested starting date. This starting date must be after the submission of theproposal and normally two months after the end of the negotiations.

5. Duration

Insert the estimated duration of the project in full months. Deviations from the duration in the original proposal must be justifiedin part B.

6. Call (part) identifier

The Call (part) identifier is the reference number given in the call or part of the call you were addressing, as indicated in thepublication of the call in the Official Journal of the European Union. You have to use the identifier given by the Commissionand/or the REA in the letter opening the negotiation.

7.Activity code(s) most relevant to your topic

Use as the first activity code the one set out in the letter opening the negotiation followed by the code(s) given in your proposal– if any. Changes are possible in case of material errors (for the list see http://www.cordis.lu/fp6/activitycodes ).

8. Free keywords

Use the free keywords from your original proposal; changes and additions are possible. (maximum 100 characters includingspaces, commas etc.).

9. Abstract

Use the abstract from your original proposal and amend to take account of the following: you should not use more than 2,000characters, the abstract should, at a glance, provide the reader with a clear understanding of the objectives of the project andhow the objectives will be achieved , and their relevance in the context of the objectives of the specific programme and thework programme . This summary will be used as the short description of the project for the public following signature of thegrant agreement and in communications to the programme management committees and other interested parties. It musttherefore be short and precise and should not contain confidential information. Please use plain typed text, avoiding formulaeand other special characters. If the project is written in a language other than English, please include an English version of theabstract in part B.

10. Participant number

The number allocated by the Consortium to the participant for this project. The coordinator of a project is always number one.

11. Participant short name

The short name chosen by the participant. This should normally not be more than 20 characters and the same short nameshould be used for the participant in all documents relating to the project.

12. Participant identity code

To be completed when Unique Registration Facility will be operational.

13. Participant legal name

Official name of participant organisation. If applicable, name under which the participant is registered in the official traderegisters.

14. Status of validation

If the status of validation of the participant is VALIDATED, this means the data provided in A2.1 has been validated by theCommission and/or the REA and this validated information is given in the A2.1 form.

http://www.cordis.lu/fp6/activitycodes

If the information that is provided is VALIDATED but is incorrect you should provide to the Commissionand/or the REA an identification fiche and recent (not older than 6 months) supporting legal documents (seehttp://ec.europa.eu/budget/execution/legal_entities_en.htm).

If the information that is provided is VALIDATED but refers to another legal entity and has no relation to your organisation youshould contact the Project Officer assigned to your project.

If the status of validation is NOT VALIDATED, you should provide the Commission and/or the REA an identification fiche andrecent (not older than 6 months) supporting legal documents (see http://ec.europa.eu/budget/execution/legal_entities_en.htm).

15. Address data

Only the fields forming the complete postal address need to be completed.

16. Country

The name of the country as commonly used.

17. Legal registration number, place and date of registration

If applicable, the organisation's legal national registration number.

18. VAT number

If applicable, the organisation's Value Added Tax (VAT) number from the VAT register.

19. Legal form

Indicate whether the organisation is Ltd, PLC, SA, GmbH...

20. Legal Entity Appointed Representative (LEAR)

The Appointed Representative is the contact point of the organisation with respect to legal information on the organisation.This person can be contacted by the Commission and/or the REA ’s Legal Validation Team to provide legal documentation andmaintain up-to-date legal information on the organisation. For more information see http://cordis.europa.eu/fp7/urf_en.html .

21. Phone and fax numbers

Please insert the full numbers including country and city/area code. Example +32-2-2991111.

22. Main categories of applicants/beneficiaries and their key rights and obligations

See table before endnotes

23. Natural person

Natural person refers to a physical person. The place of establishment refers in this case to the habitual residence of theperson.

24. Public body

Public body means any legal entity established as such by national law and international organisations.

25. Non profit public body

Non profit organisation is an organisation considered as such by national law or international law. Public body – see above.

26. Profit public body

A public body that is not considered non profit - see above.

27. International organisation of European interest

An international organisation, the majority of whose members are Member States or Associated Countries and whose principalobjective is to promote scientific and technological cooperation in Europe.

28. International organisation – other

International organisation means an intergovernmental organisation other than the European Union which has legal personalityunder international public law, as well as any specialised agency set up by such an international organisation.

29. Secondary and higher education establishment

Organisations that deliver diplomas recognised by a country (typically universities).

30. Research organisation

Research organisation means a legal entity established as a non-profit organisation that carries out research or technologicaldevelopment as one of its main objectives.

31. Enterprise

http://cordis.europa.eu/fp7/urf_en.html

Any entity engaged in an economic activity, irrespective of its legal form.

32. SME

SME means micro, small and medium sized enterprise within the meaning of Recommendation 2003/361/EC in the version of 6May 2003 (see http://ec.europa.eu/enterprise/enterprise_policy/sme_definition/index_en.htm).

An enterprise is considered as an SME, taking into account its partner enterprises and/or linked enterprises (please see theabove mentioned recommendation for an explanation of these notions and their impact on the definition), if it:

• employs fewer than 250 persons

• has an annual turnover not exceeding EUR 50 million, and/or

• an annual balance sheet total not exceeding EUR 43 million

• is autonomous

The headcount corresponds to the number of annual work units (AWU), i.e. the number of persons who worked full-time withinthe enterprise in question or on its behalf during the entire reference year under consideration. The work of persons whohave not worked the full year, the work of those who have worked part-time, regardless of duration, and the work of seasonalworkers are counted as fractions of AWU. The staff consists of:

• employees;

• persons working for the enterprise being subordinated to it and deemed to be employees under national law;

• owner-managers;

• is autonomous

partners engaging in a regular activity in the enterprise and benefiting from financial advantages from the enterprise.

ATTENTION: Apprentices or students engaged in vocational training with an apprenticeship or vocational training contract cannot be included as staff. The duration of maternity or parental leaves is also not counted.

The data to apply to the financial amounts (e.g. turnover and balance sheet), as well as to the headcount of staff, are thoserelating to the latest approved accounting period and calculated on an annual basis. They are taken into account from thedate of closure of the accounts. The amount selected for the turnover is calculated excluding value added tax (VAT) and otherindirect taxes.

In the case of newly-established enterprises whose accounts have not yet been approved, the data to apply is to be derivedfrom a bona fide estimate made in the course of the financial year. These organisations must insert "N/A" for the two questionsrelating to the duration and the closing date of their last approved accounting period.

33. Non-SME

An enterprise that is not an SME.

34. Title

Please choose one of the following: Prof., Dr., Mr., Ms.

35. Gender

This information is required for statistical purposes. Please indicate with an F for female or an M for male as appropriate.

36. Position

Please indicate the position in your organisation e.g. Rector, President, Chief Executive Officer, Director etc.

37. Department/faculty/institute/laboratory name/...

Please indicate here the postal address for contact purposes.

38. Signature

The A2.5-form needs to be signed by at least one of the authorised representatives indicated in the A2.3-form.

39. Account name

The name or title under which the account has been opened and not the name of the authorised agent.

40. IBAN

If the IBAN code (International Bank Account Number) is applied in the country where your bank is situated.

41. Bank stamp + signature bank representative

The bank stamp and signature of its representative are not required if this form is accompanied by a copy of a bank statement.

42. Beneficiary

The legal entity who signs the grant agreement.

43. Seconded researcher

Researcher means an early stage or an experienced researcher selected and appointed by his/her home organisationrepresentative amongst the staff to benefit from the staff exchange under the project. Technical and managerial staff areassimilated to early stage or experienced researcher depending on their level of professional experience and are eligible if theyare involved in research related activities.

44. Partner

Partner means Partner organisation which is a signatory of the partnership agreement that participate in the project.

Documents

Preparation Forms Grant Agreement